Medical Coding
1,095 open positions
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Inpatient Coder Associate, Payment Integrity CloverhealthRemote $76k–$99k19d Review inpatient medical claims to ensure accurate payments, identify overpayments, and validate clinical rationale for billed procedures.
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Coding Consultant Outpatient - PRN Datavant2Remote 19d Review medical records and assign accurate ICD/CPT codes for diagnoses and procedures in outpatient settings to support hospital billing and statistical reporting.
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3850810-Executives ExlIndia 19d Review complaints and appeals filed by providers to ensure cost-effective delivery of health services.
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Clinical Auditor/Analyst (Remote)- Fraud, Waste and Abuse↗ UpmcRemote 20d Conduct clinical audits and reviews to detect fraud, waste, and abuse in healthcare claims and services, ensuring compliance with clinical guidelines and regulations.
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Leitung (m/w/d) Medizincontrolling Rems-Murr-Kliniken gGmbHBADEN_WUERTTEMBERG 20d Leading the Medical Controlling department at a hospital, focusing on DRG billing, cost management, and strategic performance analysis.
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Home Health Medical Coder↗ Cliniqon Rcm Pvt LtdKL, IN ₹324k–₹396k20d Review home health medical records and assign accurate ICD-10-CM diagnosis codes to support PDGM reimbursement and compliance.
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Inpatient Care Physician (MD/DO)↗ EvbRemote 20d Review and assess medical records, clinical notes, and inpatient documentation (HPI, PMH, assessments, care plans) to train AI systems for clinical documentation and decision support.
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Compliance/Rights Officer↗ Texana CenterRosenberg, TX, US 20d Develop, implement, and oversee the Compliance Plan; investigate fraud/waste/abuse complaints; ensure HIPAA compliance for electronic health records; serve as Custodian of Medical Records.
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Claims Intake Processing Representative - Onsite Scottsdale, Arizona CvshealthAZ - Scottsdale, US 20d Performs claim documentation review, verifies policy coverage, assesses claim validity, and ensures accurate and timely claims processing for medical reimbursement.
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Medical Management Nurse - AmeriBen ElevancehealthIN-INDIANAPOLIS, 220 VIRGINIA AVE, US 20d Review complex medical cases requiring nursing judgment to determine medical necessity of requested services and assess member clinical presentations.
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Coding Specialist (Radiation Oncology coding exp required) - REMOTE VumcRemote 20d Reviews, accurately assigns, and abstracts professional and outpatient facility diagnostic and procedural codes to encounters to ensure compliance with regulatory requirements.
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Trauma Registrar VCUHealthRichmond, VA, US 20d Maintains a trauma registry database for VCU Health System's adult and pediatric trauma programs to support Level 1 Trauma Center verification and quality improvement.
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Inpatient Medical Coding Auditor HumanaRemote $71k–$98k20d Reviews inpatient hospital claims for proper reimbursement, handles provider disputes, and ensures correct claims payment and appropriate DRG assignments.
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Mitarbeiter für die GOÄ-Abrechnung / Abrechnungsmanagement (m/w/d) - digitale Abrechnung PVS holding GmbHBerlin, BERLIN 20d Processing and verifying billing data for private medical practices according to the German Physicians' Fee Schedule (GOÄ) to ensure accuracy and completeness.
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Medizinische Kodierfachkraft – Zentrales Medizincontrolling (m/w/d) Marienhaus GmbHRemote 20d Medical coding specialist for a central medical control team, processing stationary treatment cases digitally across multiple clinics.
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Facility Coding Quality Integrity Analyst - Inpatient AahRemote 20d Ensures accurate and compliant inpatient professional and hospital coding practices through audits, data analysis, and guidance development.
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PHYSICIAN ADVISOR (FT; REMOTE) - Temple University Hospital↗ Temple Health – Temple University Health SystemRemote 20d Provides clinical expertise and guidance for medical necessity appeals, utilization reviews, and regulatory denial/appeals processes.
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Kodierfachkraft (m/w/d) Gemeinnützige Gesellschaft der Franziskanerinnen zu Olpe mbHHilden, NORDRHEIN_WESTFALEN 20d Coding medical cases in clinical departments based on digital patient records and current DKR guidelines to support DRG-related billing and documentation optimization.
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Professional Billing- Coding/Education Specialist - REMOTE UmmhWorcester, MA Worcester Business Center, US $64k–$115k20d Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines, while developing and conducting educational courses on professional documentation, coding, and billing.
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Medical Coder Professional - Surgical Coder UmmcRemote 20d Review outpatient medical records to assign appropriate ICD-10, CPT, and HCPCS codes, ensuring compliance with regulations and payer policies to facilitate correct reimbursement.
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Licensed Physician Reviewer - Nephrologist ChenmedCorporate Office, US $205k–$293k20d Primary physician reviewer for Utilization Management (UM) cases, covering specified territories and coordinating care for patients.
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Inpatient Coder II, HB coding Northwestern-Memorial-HealthcareChicago, IL, us 20d Expert inpatient coder assigning ICD-10-CM/PCS codes for complex acute care discharges to ensure accurate reimbursement and quality metrics.
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Nurse - Clinical Review Wns-Global-ServicesRemote $65k–$75k20d Prospective medical necessity determinations on prior authorization requests for specialty programs including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical Medicine, Sleep, Oncology, and Genetic Testing.
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Medical Coder OasishealthpartnersRemote 21d Assign accurate outpatient medical codes and manage the revenue cycle from clean claim submission to denial resolution for primary care practices.
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Manager↗ Exl ServiceMH, IN 21d Performs clinical review of medical cases to determine approval or denial based on plan coverage and guidelines, utilizing evidence-based criteria set by the client and Medicare (CMS).
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Senior Encounter Data & Coding Specialist Center for Elders' IndependenceOakland, CA $96k–$145k21d Ensures completeness, accuracy, and regulatory compliance of encounter data, diagnosis coding, and clinical documentation for CMS, Medicare, Medicaid, and PACE reporting.
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?Manager - Utilization Management↗ Murfreesboro, TN, US 21d Lead utilization review operations across behavioral health hospitals, overseeing authorizations, concurrent reviews, denial management, and payer relationships to ensure appropriate levels of care.
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Compliance Officer-Referral Laws↗ Osf HealthcarePeoria, IL, US 21d Specialized compliance officer focusing on Referral Law, collaborating with leadership and staff to ensure adherence to laws and regulations, creating corrective action plans for identified gaps.
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Team Manager - Medical Coding↗ Huron Consulting GroupKA, IN 21d Manage a team of 40-60 FTEs to deliver medical coding services for US healthcare clients, ensuring SLA compliance and operational efficiency.
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Clinical Doc Spclst BrownhealthBrown University Health, US $87k–$174k21d Concurrent auditing of medical records to evaluate and improve the quality of clinical documentation, ensuring accurate reflection of severity of illness, expected risk of mortality, and complexity of care.
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Clinical Documentation Manager DevotedRemote USA $73k–$115k21d Subject matter expert driving clinical documentation integrity and ICD-10-CM coding accuracy for Medicare Advantage Risk Adjustment, enabling provider network support and audit readiness.
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QA/Process Specialist - Medical Coding HuronBangalore India - South 3rd Floor 21d Lead a team of medical coders to ensure production goals and coding accuracy (95% target) for healthcare clients.
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Physician Practice Coder - Remote BmcRemote 21d Reviews physician medical records to abstract diagnoses and procedures, then codes them using ICD-10-CM and CPT-4/HCPCS systems to ensure accurate billing and charge capture.
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Enterprise Compliance Auditor - Educator WvumedicineHome Health Davisson Run Road, US 21d Ensures compliance with federal healthcare program rules and regulations by developing policies, conducting audits, and educating staff on regulatory requirements.
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Claim Edit and Vendor Integrity Specialist, Geisinger Health Plan ( Eastern United States resident ) GeisingerWork from Home, US 21d Lead the development, testing, maintenance, and expansion of internal claims edits and the ClaimsXten Policy Management Module to ensure payment compliance and resolve vendor issues.
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Credentialing Specialist↗ Starlink Healthcare AdministrationTN, IN ₹360k–₹840k21d Manage provider credentialing, licensure, and managed care contracting processes for family practice and ensure regulatory compliance.
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Verwaltungsangestellte (m/w/d) Medizinische Rechnungsprüfung Universitätsklinikum Schleswig-HolsteinRemote 21d Administrative processing of medical service audit requests (MD) and documentation for university hospital departments.
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Chargemaster Analyst LmhLawrence, KS, US 21d Maintaining the accuracy, integrity, and compliance of the organization's Charge Description Master (CDM) to support revenue integrity and reimbursement optimization.
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Director-Clinical Chargemaster/Remote Mercy HealthChesterfield, Missouri 21d Lead Clinical Specialists and oversee charge master functions to ensure appropriate reimbursement and compliance with governmental billing regulations across all Mercy communities.
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